Provider Demographics
NPI:1467581728
Name:KRINGS, KEITH L (PT)
Entity Type:Individual
Prefix:MR
First Name:KEITH
Middle Name:L
Last Name:KRINGS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:740 W GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-2392
Mailing Address - Country:US
Mailing Address - Phone:810-227-3588
Mailing Address - Fax:810-626-4045
Practice Address - Street 1:2625 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2468
Practice Address - Country:US
Practice Address - Phone:734-585-3313
Practice Address - Fax:734-585-3315
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501003624225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0H11756OtherBCBS MI
MI0H11756OtherBCBS MI